Organization · Type 2 NPI

American Healthcare Systems Illinois LLC

Clinic/Center · Waterloo, IL

NPI number 1770283301 Active

Practice location

509 Hamacher St Ste 300
Waterloo, IL 62298-1592

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

NPI record

NPI: 1770283301
Entity type: Organization (Type 2)
Issued: Mar 2, 2023
Last updated: Jun 27, 2024
Status: Active
Subpart: Yes of American Healthcare Systems Illinois LLC

Other names

<unavail>
Gateway Imaging: Waterloo · doing business as
Gateway Imaging: Waterloo · doing business as

Authorized official

Jonathan Burket
Corporate Compliance
(818) 666-0602

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1770283301

American Healthcare Systems Illinois LLC's National Provider Identifier is 1770283301, issued on Mar 2, 2023. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Waterloo, IL. The record was last updated on Jun 27, 2024.